Non-surgical Root Canal Retreatment

Patel, Bobby

doi:10.1007/978-3-319-19476-9_10

Cited by 3 publications

(15 citation statements)

References 63 publications

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“…Dalam jumlah kasus yang lebih jarang, kegagalan dapat juga disebabkan oleh infeksi ekstraradikuler. 1,2,3 Infeksi persisten disebabkan oleh aktivitas bakteri pada perawatan awal, yang tidak berhasil dieliminasi saat pembersihan dan pembentukan saluran akar. Bakteri penyebab inflamasi persisten pada umumnya terletak pada area yang sulit untuk diakses oleh instrumen endodontik dan irigan, serta seringkali terletak pada area yang memungkinkan kontak langsung dengan sumber nutrisi dari periradikular yaitu pada area apikal, ramifikasi pada bagian apikal dan isthmus.…”

Section: Pendahuluanunclassified

“…2,4,5,6 Prasyarat lain perawatan saluran akar ulang adalah sisa jaringan gigi sesudah pembuangan restorasi koronal dan karies sekunder memungkinkan untuk direstorasi. 1,4,6 Rencana perawatan saluran akar pada pasien geriatri perlu mempertimbangkan berbagai hal yang berhubungan dengan kondisi fisik, psikis, fisiologis dan sistemik dari pasien. 7 Tindakan perawatan gigi pada pasien geriatri pada dasarnya sama dengan tindakan pada pasien secara umum.…”

Section: Pendahuluanunclassified

“…Kebocoran koronal juga disebutkan berhubungan dengan post-treatment disease, selain persistensi bakteri intrakanal dan ekstra kanal serta adanya kista radikuler. [1][2][3][4][5][6] Kegagalan perawatan endodontik pada kasus diatas kemungkinan terjadi akibat dua etiologi yaitu persistensi bakteri intrakanal dan kebocoran restorasi koronal.…”

Section: Pembahasanunclassified

“…Persistensi bakteri intrakanal terjadi akibat pembersihan dan obturasi saluran akar yang tidak adekuat. 1,2,4 Siquera, et al 6 menyebutkan obturasi 2 mm kurang dari apeks ataupun 2 mm melebihi apeks dapat menurunkan tingkat keberhasilan perawatan. 6 Obturasi saluran akar yang tidak mencapai panjang saluran akar biasanya terjadi karena preparasi yang tidak adekuat, pengukuran panjang kerja yang kurang akurat ataupun irigasi saluran akar yang kurang efektif sehingga menyebabkan penumpukan debris menutupi apikal saluran akar.…”

Section: Pembahasanunclassified

“…6 Obturasi saluran akar yang tidak mencapai panjang saluran akar biasanya terjadi karena preparasi yang tidak adekuat, pengukuran panjang kerja yang kurang akurat ataupun irigasi saluran akar yang kurang efektif sehingga menyebabkan penumpukan debris menutupi apikal saluran akar. 1,4 Pembersihan dan obturasi yang tidak mencapai panjang saluran akar pada kasus pasien geriatri dapat diakibatkan oleh penyempitan atau penyumbatan saluran akar di sepertiga apikal akibat deposisi dentin sekunder di dinding saluran akar, yang menyulitkan instrumentasi sehingga perawatan sebelumnya gagal mengeliminasi bakteri hingga apikal gigi. 7,8 Etiologi ke-2, menitikberatkan pada resistensi restorasi yang tidak adekuat, yaitu pecahnya restorasi di bagian insisal dan terdapatnya karies sekunder di palatal gigi 12.…”

Section: Pembahasanunclassified

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Perawatan saluran akar ulang non-bedah gigi insisivus lateral kanan rahang atas pada pasien geriatriNon-surgical root canal re-treatment of maxillary right lateral incisor in geriatric patient

Anisa

Prisinda

2020

J Ked Gi Unpad

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Pendahuluan: Kegagalan perawatan endodontik umumnya terjadi akibat obturasi yang tidak adekuat dan kebocoran pada restorasi akhir. Kegagalan tersebut dapat diatasi dengan perawatan saluran akar ulang. Perawatan tersebut pada pasien geriatri memerlukan berbagai pertimbangan penatalaksanaan sesuai dengan kondisi fisiologis dan sistemik pasien. Tujuan laporan kasus ini untuk menjelaskan perawatan saluran akar ulang non-bedah gigi insisif lateral kanan atas pada pasien geriatri. Laporan kasus: Perempuan berusia 69 tahun datang ke Instalasi Rawat Jalan Spesialistik Konservasi Gigi Rumah Sakit Gigi dan Mulut Universitas Padjadjaran (RSGM Unpad) untuk memperbaiki tambalan gigi atas depan kanan yang pecah dan untuk merawat gigi tersebut karena terasa tidak nyaman saat digunakan untuk mengunyah. Gigi pernah dilakukan perawatan saluran akar dan penambalan sewarna gigi sekitar empat tahun yang lalu. Pemeriksaan intraoral menunjukan perkusi positif pada gigi insisif lateral kanan rahang atas. Pemeriksaan radiografis periapikal memperlihatkan bahan pengisi saluran akar tidak adekuat, pelebaran membran periodontal di sepertiga apikal, serta terputusnya lamina dura di sepertiga apikal. Rencana perawatan adalah perawatan saluran akar ulang non bedah. Perawatan berlangsung dalam enam kali pertemuan singkat, dengan tahapan pengambilan gutta-percha menggunakan file hedstrom, preparasi saluran akar dengan instrumen rotary, obturasi saluran akar dengan gutta-percha serta sealer resin plus dan restorasi akhir veneer direk berbahan komposit. Simpulan: Perawatan saluran akar ulang non-bedah pada gigi insisif lateral kanan atas berhasil dilakukan dengan ditandai hilangnya keluhan pasien, perbaikan pada gambaran radiografis serta gigi dapat berfungsi secara normal. Keberhasilan perawatan dipengaruhi oleh rencana perawatan yang tepat dengan mempertimbangkan faktor etiologi kegagalan perawatan endodontik serta perubahan fisiologis dan kondisi patologis yang terdapat pada pasien.Kata kunci: Perawatan saluran akar ulang, insisif lateral, pasien geriatri. ABSTRACT Introduction: Endodontic treatment failure generally results from inadequate obturation and leakage at the final restoration. This failure can be relieved by re-root canal treatment. Such treatment in geriatric patients requires various management considerations according to the patient’s physiological and systemic conditions. This case report was aimed to describe the non-surgical root canal re-treatment of maxillary right lateral incisor in a geriatric patient. Case report: A 69-years-old woman came to the Conservative Dentistry Specialist Outpatient Unit of the Universitas Padjadjaran Dental Hospital (RSGM Unpad) to repair a broken maxillary right front tooth fill and to treat the tooth due to the uncomfortable feeling each time the mastication was performed. The tooth was treated with root canals and tooth-coloured fillings about four years ago. Intraoral examination revealed positive percussion of the maxillary right lateral incisor. The periapical radiograph showed inadequate root canal filling, dilation of the periodontal membrane in the third apical, and severed lamina dura in the third apical. The treatment plan was non-surgical root canal re-treatment. The treatment took place in six short sessions, with the steps of gutta-percha collection using a Hedstrom file, the root canal preparation with a rotary instrument, and the root canal’s obturation with gutta-percha plus resin sealer and final restoration of a composite direct veneer. Conclusion: Non-surgical root canal treatment of the upper right lateral incisor was successfully performed as indicated by the absence of the patient’s complaints, improvement in the radiographic image, and the teeth’ normal function. The treatment's success is influenced by a proper treatment plan considering the aetiological factors of endodontic treatment failure, the physiological changes, and pathological conditions present in the patient.Keywords: Root canal re-treatment, lateral incisor, geriatric patient.

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Section: Pendahuluanunclassified

Section: Pembahasanunclassified

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Perawatan saluran akar ulang non-bedah gigi insisivus lateral kanan rahang atas pada pasien geriatriNon-surgical root canal re-treatment of maxillary right lateral incisor in geriatric patient

Anisa

Prisinda

2020

J Ked Gi Unpad

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Rotary Systems for Root Canal Gutta-percha Removal: A Review

Isa¹,

Ramlan²,

Ayoub³

2023

Compend. Oral Sci.

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Gaining a predictable outcome in endodontics is complicated by handling an endodontically treated. Compared to primary root canal therapy, non-surgical endodontic retreatment typically entails the removal of previous root filling materials. This process may be necessary to enable access to contaminated canal space for recleaning and to remove obturation materials that may have been contaminated by marginal penetration of microorganisms and microbial toxins. The achievement of patency at the canal terminus and the extension of cleaning as close as possible to the apical terminus have been identified as healing prognostic criteria. Gutta-percha (GP) is the current mainstay material utilised as an endodontic filling material, capable of performing comprehensive, three-dimensional sealing of the treated root canal system in a highly effective manner with considerable physical durability. Interestingly, since its initial discovery in the 17th century, GP remains to this day the ideal obturation material used across, in essence, all dental clinics globally due to its material properties and versatility for use in conjunction with sealer compounds. The development of GP removal systems that can manage to remove GP in its entirety from root canals during non-surgical retreatment procedures is currently highly desirable for dental practices. This literature review investigated this current research niche and scrutinised two prevalently utilised rotary systems – Edgefile-XR and the XP-Endo shaper systems.

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Endodontic Retreatment and Comprehensive Endo-Prosthetic of Premolars: A Case Report

Rahayu

Santosa

Nugraheni

2020

JBBBE

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Background: The failure of endodontic treatment caused by failure of the restoration and bacterial invation. Alongside proper chemical and mechanical preparation and hermetic obturation of the root canal system, another essential factor is ensuring a permanent and hermetically-sealed restoration following endodontic treatment. Endodontic retreatment encompasses the efforts to salvage a failing previously endodontically treated tooth. As a result of advances in endodontic materials and adhesive systems, restorations in the form of fiber post and adhesively cemented crown are becoming a choice in cases of teeth that have extensive damage. Case: A case is presented a 45-year-old female was referred to Prof. Soedomo Dental Hospital with a complaint of pain in mandibular second premolar which was earlier endodontically treated. Clinical and radiographic examinations showed damaged restorations, gutta percha filling that are not hermetic and radiolucent on periapical. A successful endodontic retreatment premolar using rotary retreatment file and preparation with crown down technique using rotary progressive multiple tapering file, with comprehensive endo-prosthetic treatment using prefabricated fiber post and porcelain fused to metal crown. Conclusion: Clinical and radiographic evaluation after 6 months showed complete healing and good adaptation of the restoration. The outcomes of this case showed that failure of endodontic retreatment respond favorably to endodontic retreatment, with proper indication, prefabricated fiber post and porcelain fused to metal crown can provide an effective conservative and esthetic option for reinforcing endodontically treated teeth.

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Non-surgical Root Canal Retreatment

Cited by 3 publications

References 63 publications

<p>Perawatan saluran akar ulang non-bedah gigi insisivus lateral kanan rahang atas pada pasien geriatri</p><p>Non-surgical root canal re-treatment of maxillary right lateral incisor in geriatric patient</p>

<p>Perawatan saluran akar ulang non-bedah gigi insisivus lateral kanan rahang atas pada pasien geriatri</p><p>Non-surgical root canal re-treatment of maxillary right lateral incisor in geriatric patient</p>

Rotary Systems for Root Canal Gutta-percha Removal: A Review

Endodontic Retreatment and Comprehensive Endo-Prosthetic of Premolars: A Case Report

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